The percentage of adequate screening (considering both types), for women aged between 25 and 69&nbsp;years, remained stable, close to 78%. CONCLUSIONS Screening for BCa increased significantly. Smaller coverage rates are verified among women with low schooling and from less developed regions. © The Author(s) 2020. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail journals.permissions@oup.com.BACKGROUND Few studies have examined the association between mental health and satisfaction with primary care services in community-dwelling older adults. OBJECTIVE To examine the association between mental health in older adults and low satisfaction with primary care services within four dimensions of care. METHODS This secondary data analysis included 1624 older adults participating in the 'Étude sur la Santé des Aînés Services' (ESA-Services study) and recruited in primary care practices between 2011 and 2013 in the province of Quebec. Patient satisfaction and experience with care were assessed during face-to-face interviews with questions adapted from the Primary Care Assessment Survey. https://www.selleckchem.com/products/donafenib-sorafenib-d3.html Self-reported mental health indicators included depression, anxiety, suicidal ideation, psychological distress and cognition. We conducted four logistic regressions to examine the associations between mental health and low satisfaction in the following dimensions of care continuity of care, provider-patient interactions, adequacy of care and physical environment. RESULTS Nearly half of participants (48.5%) reported low satisfaction in at least one dimension of care examined. High psychological distress was associated with low satisfaction with provider-patient interactions [odds ratio (OR) = 1.02; 95% confidence interval (CI) = 1.00-1.04] and adequacy of care (OR = 1.04; 95% CI = 1.01-1.06). The presence of an anxiety disorder was associated with low satisfaction in adequacy of care (OR = 1.64; 95% CI = 1.00-2.72). Worse cognitive functioning was associated with low satisfaction in continuity of care, provider-patient interaction and adequacy of care. CONCLUSIONS Mental health was consistently associated with low satisfaction within dimensions of care. Results support the need for increased attention when delivering care to older adults with mental health problems. © The Author(s) 2020. Published by Oxford University Press. All rights reserved.For permissions, please e-mail journals.permissions@oup.com.BACKGROUND AND OBJECTIVES There is a substantial body of research on advance care planning (ACP), often originating from English-speaking countries and focused on health care settings. However, studies of content of ACP conversations in community settings remain scarce. We therefore explore community-dwelling, older adults' reasoning about end-of-life (EoL) values and preferences in ACP conversations. RESEARCH DESIGN AND METHODS In this participatory action research project, planned and conducted in collaboration with national community-based organizations, we interviewed 65 older adults without known EoL care needs, about their values and preferences for future EoL care. Conversations were stimulated by sorting and ranking statements in a Swedish version of GoWish cards, called the DöBra cards, and verbatim transcripts were analyzed inductively. RESULTS While participants shared some common preferences about EoL care, there was great variation among individuals in how they reasoned. Although EoL preferences and prioritizations could be identical, different individuals explained these choices very differently. We exemplify this variation using data from four participants who discussed their respective EoL preferences by focusing on either physical, social, existential, or practical implications. DISCUSSION AND IMPLICATIONS A previously undocumented benefit of the GoWish/DöBra cards is how the flexibility of the card statements support substantial discussion of an individual's EoL preferences and underlying values. Such in-depth descriptions of participants' reasoning and considerations are important for understanding the very individual nature of prioritizing EoL preferences. We suggest future users of the DöBra/GoWish cards consider the underlying reasoning of individuals' prioritizations to strengthen person-centeredness in EoL conversations and care provision. © The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America.BACKGROUND AND AIMS Although commonly used in inflammatory bowel disease (IBD), thiopurines frequently cause intolerance and switching to a second thiopurine has only been reported in some small series. Ours aims in this study were to evaluate the safety of switching to a second thiopurine in a large cohort and to assess the impact of age on tolerance. &nbsp;METHODS Adult IBD patients from the ENEIDA registry who were switched to a second thiopurine due to adverse events (excluding malignancies and infections) were identified. At the beginning of thiopurine treatment, patients were divided by age into two groups 18-50 and over 60 years of age. The rate and concordance of adverse events between the first and second thiopurines, treatment intolerance and persistence with the second thiopurine were evaluated. &nbsp;RESULTS A total of 1,278 patients (13% over 60 years of age) were switched to a second thiopurine. At 12 months, the cumulative probability of switch intolerance was 43%, while persistence with treatment was 49%. Independent risk factors of switch intolerance were age over 60 years (OR 1.49; 95%CI 1.07-2.07; P=0.017), previous gastrointestinal toxicity (OR 1.4; 95%CI 1.11-1.78; P=0.005), previous acute pancreatitis (OR 6.78; 95%CI 2.55-18.05; P less then 0.001), and exposure to the first thiopurine less then 6 months (OR 1.59; 95%CI 1.14-2.23; P=0.007). CONCLUSIONS In a large series in clinical practice, switching to a second thiopurine proved to be a valid strategy. Tight monitoring of elderly IBD patients switching to a second thiopurine because of adverse events is recommended. © The Author(s) 2020. Published by Oxford University Press on behalf of European Crohn’s and Colitis Organisation. All rights reserved. For permissions, please email journals.permissions@oup.com.